Insurance Operations Analyst jobs in Albany, OR

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Insurance and Claims Specialist
  • Clinical Operations - The Corvallis Clinic Aumann...
  • Corvallis, OR FULL_TIME
  • Compensation: $17.65 - $22.05 per hour (based on years of experience):

    Summary:
    The responsibility of the Insurance and Claims Specialist is to ensure accurate claim processing by being the primary source for creating, verifying, and updating current insurance for all Corvallis Clinic departments. This will require maintaining a current knowledge of insurance carrier rules and regulations, current coordination of benefits rules, and being a liaison between the insurance carriers and Clinic departments and patients. The Insurance and Claims Specialist will also aid in claims creation for all departments.

    Principal Responsibilities:
    • Will participate and maintain a culture within The Corvallis Clinic consistent with the content outlined in the Service and Behavioral Standards document. To this end, employee will be expected to read, have familiarity, and embrace the principles contained within.
    • Verifies insurance coverage through Athena, insurance websites, or through phone calls to the insurance company to verify eligibility, referrals and benefit information for proper patient insurance set-up and billing, for upcoming appointments.
    • Works through eligibility issues found in Athena for the departments throughout the Clinic each day.
    • Processes, completes and resolves claim issues found in the Front Desk Claim inbox.
    • Maintains a current knowledge of insurance carrier rules and regulations, i.e., referrals, co-payments, etc.
    • Research complicated insurance issues in order to resolve them for clean claim creation.
    • Acts as a liaison with the insurance carriers, departments, and patients.
    • Acts as a resource for front office staff throughout the day by answering insurance questions.
    • Creates timely claims for all TCC (The Corvallis Clinic) departments.
    • a. Submission of timely and accurate claims to ensure TCC is capturing the highest potential revenue for each department.
    • b. Timely and accurate claim creation will drive revenue and will assist in meeting organizational monthly goals.
    • c. Reviews, edits, and creates claims that are “difficult” or in a “hold status” to ensure proper billing.
    • Engages in continuing education and self-evaluation to remain a knowledgeable specialist. This includes attendance and participation in department meetings; and remaining current on department policies and procedures.
    • Participates in orientation and training of new employees; focusing on insurance basics required for MOS on the front desk.
    • Communicates with providers regarding outstanding encounters that need to bill out as claims.
    • Works as a team with the other insurance and claim specialists in order to broaden knowledge and resolves issues as efficiently as possible.
    • Continually trains staff on insurance claims and authorization.
    • Ensures the authorization, claims, and preregistration hotline is always supported and answered when front office support is needed.
    Education, Licensure and Experience:
    • One (1) or more years of experience in a medical office with knowledge of insurance and claims, required.
    • Candidates are required to successfully pass a pre-employment insurance assessment as part of the selection process.
    • One (1) or more years of experience in the customer service field, preferred.:
    Knowledge and Skills:
    • Basic computer skills including MS Word and Excel
    • Knowledge of medical terminology and understanding of insurance carriers
    • Ability to work well with providers and other staff.
    • Ability to work on multiple tasks simultaneously in a busy, fast-paced environment while maintaining quality of work.:
    Perks and Benefits:
    • Work-life balance is a top priority at The Corvallis Clinic
    • 7 holidays 2 floating holidays = 9 Paid Holidays! Early release on Christmas Eve and New Year's Eve
    • Generous Personal Leave Accrual
    • Benefits: Medical w/ HSA or HRA, Dental, Flexible Spending Acct (FSA)
    • Employer contribution to HSA and HRA (when enrolled in Medical Plan)
    • Employer paid Long Term Disability (LTD), Basic Life/ADD, Employee Assistance Program (EAP)
    • Voluntary Benefits (Vision, Life Insurance and ADD, Pet Insurance, Aflac, Legal Shield)
    • Retirement - 401k eligible and auto enrolled after 90 days, 100% vested from day 1, with discretionary clinic match after 1 year (w/hours requirement) and discretionary Profit Share after 2 years (w/hours requirement).
    • Pay on Demand (up to 2x per month)
    • Casual Fridays (with clinic approved attire)
    • Year-round employee engagement events and festivities
    • Team centered culture, delivering exceptional medical care with compassion and a commitment to service.
  • 14 Days Ago

C
Insurance and Claims Specialist
  • Clinical Operations - The Corvallis Clinic Aumann Building
  • Corvallis, OR FULL_TIME
  • Compensation: $17.65 - $22.05 per hour (based on years of experience)Summary:The responsibility of the Insurance and Claims Specialist is to ensure accurate claim processing by being the primary sourc...
  • 16 Days Ago

C
Healthcare Business Analyst
  • Clinical Operations - The Corvallis Clinic Aumann...
  • Corvallis, OR FULL_TIME
  • Compensation: $62,814.79 - $78,518.49 annual salary (based on years of experience): Summary: The Healthcare Business Analyst role will support the Finance and Operations departments regarding reportin...
  • 3 Days Ago

C
Healthcare Business Analyst
  • Clinical Operations - The Corvallis Clinic Aumann Building
  • Corvallis, OR FULL_TIME
  • Compensation: $62,814.79 - $78,518.49 annual salary (based on years of experience)Summary: The Healthcare Business Analyst role will support the Finance and Operations departments regarding reporting ...
  • 2 Days Ago

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Operations & Policy Analyst 3
  • Department of Revenue
  • Salem, OR FULL_TIME
  • Initial Posting Date: 03/20/2024 Application Deadline: 03/31/2024 Agency: Department of Revenue Salary Range: $5,747 - $8,831 Position Type: Employee Position Title: Operations & Policy Analyst 3 Job ...
  • 16 Days Ago

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Insurance Agent
  • Comparion Insurance Agency
  • Happy Valley, OR FULL_TIME
  • Pay PhilosophyThe typical starting salary range for this role is determined by a number of factors including skills, experience, education, certifications and location. The full salary range for this ...
  • 6 Days Ago

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0 Insurance Operations Analyst jobs found in Albany, OR area

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Travel Nurse RN - Urgent Care - $2,412 per week
  • PRN Healthcare
  • Albany, OR
  • Ardor Health Solutions is seeking a travel nurse RN Urgent Care for a travel nursing job in Albany, Oregon. Job Descript...
  • 6/9/2024 12:00:00 AM

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Travel Physical Therapist - $2,010 per week
  • TRS Healthcare
  • Salem, OR
  • Ardor Health Solutions is seeking a travel Physical Therapist for a travel job in Salem, Oregon. Job Description & Requi...
  • 6/9/2024 12:00:00 AM

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Dir-Information Security - Cyber Analytics
  • Marriott
  • Salem, OR
  • Job Number 24067258 Job Category Information Technology Location Marriott International HQ, 7750 Wisconsin Avenue, Bethe...
  • 6/9/2024 12:00:00 AM

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Analytical Chemist
  • Kelly Science, Engineering, Technology & Telecom
  • Albany, OR
  • Analytical Lab Analyst Kelly® Science & Clinical is seeking an Analytical Lab Analyst for a contract position at a premi...
  • 6/7/2024 12:00:00 AM

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Remote Regulatory Compliance Analyst (Insurance Industry)
  • National General Insurance
  • Albany, OR
  • Job Description Position/Title: Remote Regulatory Compliance Analyst (Insurance Industry) ** NOTES: Ideal candidate will...
  • 6/7/2024 12:00:00 AM

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Clerical Assistant (Pooled Position)
  • Linn-Benton Community College
  • Albany, OR
  • Posting Number: 0601121-NC Position Type: Classified Pools Position Title: Clerical Assistant (Pooled Position) Employme...
  • 6/7/2024 12:00:00 AM

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Travel Occupational Therapist - $2,063 per week
  • Hiring Now!
  • Albany, OR
  • Ardor Health Solutions is seeking a travel Occupational Therapist for a travel job in Albany, Oregon. Job Description & ...
  • 6/7/2024 12:00:00 AM

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Business Analyst
  • V-Soft Consulting
  • Salem, OR
  • Business Analyst Primary Location: Salem, Oregon V-Soft Consulting is currently hiring for a Business Analyst for our pr...
  • 6/7/2024 12:00:00 AM

Albany is the county seat of Linn County, and the 11th largest city in the State of Oregon. Albany is located in the Willamette Valley at the confluence of the Calapooia River and the Willamette River in both Linn and Benton counties, just east of Corvallis and south of Salem. It is predominantly a farming and manufacturing city that settlers founded around 1848. As of the 2010 United States Census, the population of Albany was 50,158. Its population was estimated by the Portland Research Center to be 51,583 in 2013. Albany has a home rule charter, a council–manager government, and a full-ti...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Insurance Operations Analyst jobs
$74,001 to $100,466
Albany, Oregon area prices
were up 3.9% from a year ago